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Individual

SAMUEL JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
5180 KALAMAZOO AVE SE STE B, GRAND RAPIDS, MI 49508-4817
(616) 212-8943
Mailing address
5180 KALAMAZOO AVE SE STE B, GRAND RAPIDS, MI 49508-4817
(616) 212-8943

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016505
MI
101YP2500X
Professional Counselor
Primary
6401019093
MI

Other

Enumeration date
07/16/2018
Last updated
02/23/2021
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